The fourth season of Private Practice premiered on September 23, 2010, and concluded on May 19, 2011. The season consisted of 22 episodes. Plot Addison and Sam continue their relationship, and eventually hit a rough patch when Addison decides that she wants a baby, and Sam doesn't want one because he already has Maya and Olivia. Addison's life gets complicated when she is forced to sit by her mother's wife's side and watch her die, because of the DNR, and is faced with the repercussions when her mother commits suicide. After going to therapy, Addison decides that she needs to take her life in a new direction, and not do everything that she always does, and meets a man at the super-market. She begins seeing the man, but doesn't know who he is and eventually agrees to go to Fiji with him, until she goes back to Sam and rekindles their relationship but says that she still wants a baby. Naomi inherits millions from her boyfriend William White following his death. On top of having to deal with his death, Naomi also has to deal with the fact that her best friend and ex-husband are in a real relationship now. She is easing well into her new role as a grandmother, even though she was less than thrilled to find out her 16-year-old daughter Maya was pregnant. Naomi eventually admits that she isn't happy with where her life is at the moment and makes a decision to find her purpose elsewhere. Sam and Addison are still dating but are at different points in their lives. Addison wants a child, but Sam has a child and a grandchild so he would rather just enjoy their time together and put off having kids indefinitely. Sam's biggest challenge is that he is in a relationship with Addison but she is pulling away, so he ends up kissing Naomi which leads him to believe that maybe there is still a chance for a romantic relationship between them. Naomi's head is elsewhere so neither women (Addison or Naomi) is actually on the same page as him. Cooper and Charlotte are forced to deal with the aftermaths of Charlotte's rape, but Cooper doesn't know about the rape until long after it has happened. After being raped Charlotte decides not to tell Cooper, or the police, but soon after hearing Violet's rape story she finds that she